Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
19,609
Total Claims
$850K
Drug Cost
873
Beneficiaries
$974
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+27%
Opioid rate vs peers
52.2% vs 41.3% avg
+144%
Cost per patient vs peers
$974 vs $399 avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
52.2%
Opioid Rate
10,236
Opioid Claims
$637K
Opioid Cost
17.4%
Long-Acting Rate
This provider's opioid prescribing rate of 52.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 19,075 claims · $572K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 5,962 | $209K |
| Oxycodone Hcl | 111 | $165K |
| Oxycodone Hcl/Acetaminophen | 1,652 | $66K |
| Oxycodone Hcl/Acetaminophen | 13 | $59K |
| Fentanyl | 326 | $40K |
| Naloxegol Oxalate | 83 | $35K |
| Morphine Sulfate | 871 | $33K |
| Oxycodone Myristate | 41 | $25K |
| Celecoxib | 1,004 | $23K |
| Tizanidine Hcl | 1,363 | $21K |
| Lidocaine | 164 | $15K |
| Pregabalin | 358 | $12K |
| Buprenorphine Hcl | 12 | $12K |
| Diclofenac Sodium | 211 | $11K |
| Meloxicam | 2,307 | $11K |
Prescribing Profile
53
Unique Drugs
24.0
Anomaly Score
Patient Profile
66
Avg Age
62%
Female
1.70
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About